2024-02801CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 9320 CEDAR ST S
PIN 155207001010
LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ALTERATION
VALUATION 45,000.00
NOTE: WHITE BOX:
REMOVING EXISTING FIXTUREES, COUNTERS, ETC.
REPAIR/REPLACE FLOORING.
CAP OFFIDISCONNECT UTILITIES.
APPLICANT
G M NORTHRUP CORPORATION
15950 FRANKLIN TRAIL SE
PRIOR LAKE, MN 55372-
952) 226-3090
OWNER
WAL-MART REAL EST BUSINESS TR
1301 1 OTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved
by the Building Official. I agree that any damage caused to
public property including but not limited to curb, sidewalk,
public utilities and signs will be repaired at my expense.
Applicant
Date
Bldg Official Date
2 0 2 4- 0 2 8 0 1*
DATE ISSUED: 01/30/2025
Permit #: 2024-02801
BUILDING PERMIT FEE 628.93
PLAN REVIEW 408.80
STATE SURCHARGE, BLDG VAL 22.50
TOTAL 1,060.23
Payment(s)
CHECK 25117 1,060.23
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY*OF 'i llT- j (
jPermitNo. U-(i ` a (J
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BUILDING S A F E T Y
N C
Date,jw-2p24--
COMMERCIAL / INDUSTRIAL BU RMIT APPLICATION
505 Walnut Street, Suite #1 Monticello, MN 55362 Ph: 763-295-3060
buildingdepartment@ci.monticello.mn.us
SITE ADDRESS
9320 Cedar St Monticello, MN 55362
LEGAL DESCRIPTION
LOT 001 BLOCK 001
PLAT Unknown
OWNER (Name)
Walmart Real Estate Business Trust Rex Ward
OWNER'S E-MAIL ADDRESS:
Delbert.Ward(@wal-mart.com
CONTRACTOR (Name)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
4 M Koy°rin
CONTRACTOR'S E-MA L AD RE S:
ARCHITECT Name)
Db2 architecture + enaineerina William Doualas Hurlev
ARCHITECT'S E-MAIL ADDRESS
Doua.Hurlev(a')Db2ae.com
ENGINEER (Name)
Db2 architecture + enaineerina Joshua McCall
ENGINEER`S E-MAIL ADDRESS:
PID. NUMBER RP155-207-001010 ZONED Commercial Address)
PO Box
8050-
MS0555 Bentonville. AR 72712 Tel. No.) 479-
277-2473
Address) Tel. No.)
Address)
4886 W
Pauline
Whitaker Prkwv Ste 200 Roaers, AR 72758 Tel. No.) 479-
636-3545
Address) 4886 W
Pauline
Whitaker Prkwy Ste 200 Rogers. AR 72758 i Tel. No.)
ioshua.
mccall0r)b2ae.
com 479-877-3927 DESCRIPTION OF WORK:
White Box:
Removing Existing fixtures. Counters. etc: Repair/Replace Flooring: Cap off/Disconnect utilities.
Amy Biren
From: Kandie McCall <kandie.mccall@pb2ae.com>
Sent: Friday, December 20, 2024 11:22 AM
To: Building Department
Subject: RE: Contractor for Walmart White Box?
Amy,
I was just informed that the GC will be G M Northrup Corporation , Jason Farmakis ā iarmakis@gmnorthrup.com
952-226-3090)
15950 Franklin Trail SE Prior Lake, MN 55372. The project Coordinator is going to be the main contact. Her name
is Katie Rutz. krutz@amnorthrup.com.
Thank you,
Kandie McCall
permit coordinator
pb2 architecture + engineering
4886 west pauline whitaker parkway suite 200 1 rogers arkansas 72758
d: 479.877.1266 1 o: 479.636.3545 1 f: 479.636.1209
kandie.mccall@pb2ae.com httr)s://r)b2ae.com
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From: Building Department<BuildingDepartment@ci.monticello.mn.us>
Sent: Friday, December 20, 2024 10:43 AM
To: Kandie McCall <kandie.mccall@pb2ae.com>
Subject: Contractor for Walmart White Box?
HI Kandie,
Do you have the contractor's information for the White Box at Walmart in Monticello, MN? I need to have that
information before I can enter the permit into the system. Once I have that, I will be able to send you the total
amount due for the permit.
Please let me know if you have any questions.
Thanks,
Amy
Amy L. 3irevw
Building Permit Technician
TYPE OF WORK (Please Circle One)
New
Addition
Alteration
Repair
Move
Other
TYPE OF CONSTRUCTION (Please Circle One)
Commercial
Industrial
Institutional
Multi -Family
Other
ADDITIONAL INFORMATION MISC. NOTES:
Valuation: $45,000 Est.
Construction Type: 5B - Unprotected (Snrinklered)
Occupancy Group: Mercantile
Square Footage: 203, 91 - 1.476 AffeQjed
of Stories: 1
Maximum Occupancy: 25
Fire Suppression: Yes Existing No
ESTIMATED VALUE OF CONSTRUCTION
45,000
I hereby apply for a permit for construction as described and acknowledge that the information I have
provided above is complete and accurate. I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the Laws of the State of Minnesota; and that I under-
stand that this application is not a permit and that the work is not to start without a permit. I further un-
derstand that the work will be in accordance with the plan that has been approved by the Building Offi-
cial. I agree that any damage caused to public property including but not limited to curb, sidewalk, pub-
lic utilities and signs will be repaired at my expense.
DocuSigned by:
Applicant Signature ( V _ - J., P10.11 4J i eā . )VI C. C. A al a e... e o
D -13.
Print Name /Title KanC ie91 cC49a -Permit Coordinator
877 !fib
Date 11 /19/2024
Approved by Building Official: 4A...
Approved by Fire Marshal 1/1A
Date Approved: 101 ā10V-;4q Total Permit FeeS , ,